Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.

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Hi
and what about vitamin d? you can start physiotherapy treatment to strengthen the muscles around the joint, stabilize the joint, and improve your range of motion. The therapist will use techniques such as ultrasound, heat or cold therapy, electrical nerve stimulation, and manipulation.
Do reply for private consultation and detailed treatment plan
wishing you a good health.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
You are very young to actually have persistent back pains.
If you have localized back pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then you can start with following recommendations for initial period of 2-3 weeks: - to maintain proper posture of your back while working and sleeping
- if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or paracetamol or one which suits you
- physical therapy initially under supervision of a trained physiotherapist and then to continue at home
- adequate calcium & vitamin d intake if levels are low in body
- ice packs can applied if your pain is acute, then hot fomentation can be done at home
- analgesic spray for local application can be used and is easily available.
- avoid lifting heavyweight/ acute forward bending in mornings etc we will observe you for next 2-3 weeks how you respond to this conservative management protocol.
If you are not feeling better, then we will have to get some investigations like, dynamic x rays of lower back and few blood tests for evaluation. Do not hesitate to contact me if you need any further assistance.
You can also discuss your case and treatment plans with me in a greater detail in a private consultation.

Apply Hot Fomentation twice daily.
Avoid bending in front.
Postural Correction- Sit Tall, Walk Tall.
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.
Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily.
Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day.
Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Most probably you are suffering from oa of knee.
Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, in our hands. We have well equipped center in delhi. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery.
Do not ignore. It could be beginning of a serious problem.
Kindly show me x- rays before a final decision can be taken.
You will be thoroughly investigated before surgery is under taken.
Risk in surgery is less than the risk in crossing road.

Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Do hot fomantation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

Mention your job profile? did you do a jerky movement with your right shoulder? apply a pain relieving ointment: volini /dynapar gel. Followed by a hot water fomentation. This procedure should be done twice a day. Also, avoid sleeping on the right shoulder. Consult a physiotherapist if the pain doesn't subside with this protocol.

This treatment is being suggested on bases of the information provided.
I would like to examine & investigate you in detail.
Rule out Hypertension, Diabetes or other metabolic disorder.
Any way it may be tried,
--. Dolokind Plus (Mankind) [Aceclofenac 100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days.
--. Caldikind plus (Mankind) 1 tab OD x 10 days.
(You may need help of your local doctor to get these medicines.)
--. Fomentation with warm water. Avoid direct flow of AC or Cooler.
--. Sleep on a hard bed with soft bedding. --. Use no pillow under the head.
--. Avoid painful acts & activities.
-- .Do mild exercises for Neck & shoulders. Arms.
Do not ignore, let it not become beginning of a major problem.
Do ask for a detailed treatment plan.
If no relief in 2-3 days, contact me again (through this platform)
Kindly make sure, there is no allergy to any of these medicines. (Contact your family doctor, if needed).
For emergency treatment visit nearest hospital.
I hope I have answered your question to your satisfaction.
Kindly rate the answer.
Wish you a quick recovery & good health.

Hi I can understand your problem
1) avoid activities that make your symptoms worse
2) apply ice packs
3) start physiotherapy treatment as electrotherapy will reduce pain inflammation 4) exercise and mannual therapy will help in painfree movement.
In next consultation describe your problem in detail and do share related reports and prescription if you have.
Best wishes.